NJ Hiring forms

Please make sure when your taking a photo that it's not blurry because we need to be able to see your ID photo and the date when it expires.
Drivers License
Guard Card (If required by the state)
Armed Carry Permit (Only if armed)
Social Security Card

Employee’s Withholding Allowance Certificate
Whether you’re entitled to claim a certain number of allowances or exemption from withholding is subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.
Your first name and middle initial*
Last name*
Your social security number*
Home address (number and street or rural route)*
City or town, state, and ZIP code*
SingleMarriedMarried, but withhold at higher Single rate.
check here. You must call 800-772-1213 for a replacement card.
Total number of allowances you’re claiming (from the applicable worksheet on the following pages) .*
Additional amount, if any, you want withheld from each paycheck .
I claim exemption from withholding for 2019, and I certify that I meet both of the following conditions for exemption.
Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete.

(This form is not valid unless you sign it
Signature*
Date*

MonthDayYear
Date

Employment Eligibility Verification Department of Homeland Security
Last Name (Family Name)*
Name*

First Name (Given Name)Middle InitialOther Last Names Used (if any)
Address (Street Number and Name)*
Apt. Number*
City or Town*
State*
ZIP Code*
Date of Birth (mm/dd/yyyy)*

MonthDayYear
Date
U.S. Social Security Number*
Your E-mail Address*
example@example.com
Your Telephone Number*
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form.
1. A citizen of the United States2. A noncitizen national of the United States (See instructions)3. A lawful permanent resident
Signature of Employee*
Today's Date (mm/dd/yyyy)*

MonthDayYear
Date

SECURITY AGENCY EMPLOYEE’S STATEMENT
Division of State Police Department of Law and Public Safety State of New Jersey
All information entered on this form is considered to be offered as a sworn statement. Any misstatement of fact is reason for disqualifi cation for employment, or may be punishable by law as per N.J.S. 2C:28-2, 2C:28-3 and 2C:28-7.

No person shall be employed by any holder of a security agency license until such person to be employed shall have executed and furnished to such license holder the following statement, pursuant to the provisions of “The Security Offi cer Registration Act (SORA)” as amended by Chapter 134, Laws of 2004.

The statement must be made in the handwriting of the person to be employed by the licensed security agency and must be retained by the security agency.
Employee’s Temporary ID Number or Security Officer Certification Number*
1. Your Full Name*
S.S. No.*
Residence Address*
Cell Phone:*
Email:*
example@example.com
Age*
Birth Place and Date*

MonthDayYear
Date
(City)*
(County)*
(State) *
(Country)*
Are you a citizen of the United States?*
If not, have you filed your declaration of intention to become a citizen?
If filed, when and where? (Date)

MonthDayYear
Date
(Name of Court)*
(City)*
(State)*
If you are not a citizen of the United States, of what country are you a citizen or subject?

2.Give your business or occupation engaged in for the fi ve years immediately preceding the date of the fi ling of this statement with your employer, setting forth the place or places where such business or occupation was engaged in and the name or names of employers, if any, with dates thereof:

Rows	Month/Year (Starting From)	Month/Year (To End)	Residence (Give no. Street and city	Occupation	Name and Address of Employer
1
2
3
4
5

3.Have you ever been dismissed for cause in any employment? If so, give full details.*
4.Has any license or permit issued to you or applied for by you ever been denied, suspended or revoked anywhere?If so, give details.*
5.Have you ever been convicted of buying or receiving stolen property, larceny or theft? If so, give details.*
6.Have you ever been convicted of aiding escape from prison? If so, give full details.*
7. Have you ever been convicted of making or possessing burglar’s instruments? If so, give full details.*
8. Have you ever been convicted of unlawfully possessing, under the infl uence of, or distributing habit-forming narcoticdrugs or any controlled dangerous substances? If so, give full details.*

9. Have you ever been convicted of illegally using, carrying, or possessing a pistol or other dangerous weapon? If so, give full details.*
10. Have you ever been convicted of unlawful entry of a building? If so, give full details.*
11. Have you ever been convicted of a crime of the fi rst, second, third or fourth degree? If so, give full details.*
12. Have you ever been indicted for any crime or offense in this State or any other State or Territory?*
13. Has any security agency license issued to you or to a partnership or corporation of which you were a member or ever been revoked in this State or any other State or Territory because of conviction of any of the crimes oroffenses specified in this section?*
14. Have you ever been convicted of any other crime or offense? If so, give full details.*
15. Has this State or any other State or Territory ever denied any application submitted by you for license as a security officer because of any crime or offenses specifi ed in the preceding questions?*
(Name of Person Making This Statement)

being duly sworn, deposes and says: that he is the person above named; that he has read the foregoing statement and the answers thereon noted; that such answers are true to his knowledge, and that he personally attached his signature to this af- fi davit; that the above answers were written in the handwriting of deponent.
Signed*
Your full Name: *
What polo shirt size are you? *
Should be Empty: